Question

A 38-year-old with dyspepsia tests positive for H. pylori. No prior eradication therapy and no known antibiotic susceptibility results. Which regimen is preferred?

Accepted Answer

Optimized bismuth quadruple therapy for 14 days

Answer

PPI + clarithromycin + amoxicillin for 10 days

Answer

PPI + clarithromycin + metronidazole for 14 days regardless of local resistance

Answer

Levofloxacin triple therapy for 10 days

Answer

PPI alone for 8 weeks then retest

Practice question

A 38-year-old with dyspepsia tests positive for H. pylori. No prior eradication therapy and no known antibiotic susceptibility results. Which regimen is preferred?